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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Pulmonary Embolism. Took Warfarin, Stopped Taking Anticoagulant. Feels Fatigue, Tired, Breathless Sleep, Chest Pain

i had pulmonary embolisum one and a half year back ...for which i took warfarin for a year...but since january of this year i stopped taking anti co agulant...but for last 1 month i feel badly fatigued...poblem while sleeping breathlessness... chest pains...my dr got d dimer test which was high...potein c is low...then yesterday i got tranesophaegal echo...which seems normal with trivial mr and tr....and i feel breathless and v tired...what you suggest...
Wed, 20 Jun 2012
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Pulmonologist 's  Response
thanks for ur query
ur d-dimer is high that does not surely indicate that again u have pulmonary embolism
u must need to have a pulmonary CT angiogram for confirming it
if positive result is found then should have a bunch of investigation for this recurrent events
ur pr c level is low that may be due to anticoagulant intake but u should have a factor 5 assay along with its activity because factor 5 leiden mutation may lead to low pr c and these recurrent pulmonary embolism
also u need to have both lower limb USG doppler study to look for any thrombi
for mr tr purposes consult cardiologist
i dont think that mr tr is not causing these problems to u
consult a pulmonologist
thank u
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Had Pulmonary Embolism. Took Warfarin, Stopped Taking Anticoagulant. Feels Fatigue, Tired, Breathless Sleep, Chest Pain

thanks for ur query ur d-dimer is high that does not surely indicate that again u have pulmonary embolism u must need to have a pulmonary CT angiogram for confirming it if positive result is found then should have a bunch of investigation for this recurrent events ur pr c level is low that may be due to anticoagulant intake but u should have a factor 5 assay along with its activity because factor 5 leiden mutation may lead to low pr c and these recurrent pulmonary embolism also u need to have both lower limb USG doppler study to look for any thrombi for mr tr purposes consult cardiologist i dont think that mr tr is not causing these problems to u consult a pulmonologist thank u